Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,572.19 / $8,974.62 / $20,177.70	Facility		$2,572.19	$8,974.62	$20,177.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,957.96 / $2,572.19 / $16,140.60	Professional		$1,957.96	$2,572.19	$16,140.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $4,508.84 / $12,375.34	Facility		$614.00	$4,508.84	$12,375.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.60 / $3,491.91 / $8,268.59	Professional		$1,239.60	$3,491.91	$8,268.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $4,090.71 / $27,798.21	Facility		$59.40	$4,090.71	$27,798.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,410.05 / $2,014.36 / $5,063.89	Professional		$1,410.05	$2,014.36	$5,063.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,843.75 / $4,307.53 / $8,661.75	Facility		$1,843.75	$4,307.53	$8,661.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.75 / $2,194.82 / $5,252.37	Professional		$1,336.75	$2,194.82	$5,252.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,231.29 / $2,565.98 / $3,388.78	Professional		$2,231.29	$2,565.98	$3,388.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,259.19 / $2,886.74 / $5,522.46	Professional		$2,259.19	$2,886.74	$5,522.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,367.77 / $11,923.50 / $11,923.50	Facility		$4,367.77	$11,923.50	$11,923.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,551.05 / $12,551.05 / $18,826.58	Professional		$12,551.05	$12,551.05	$18,826.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,138.13 / $3,230.65 / $7,270.31	Facility		$2,138.13	$3,230.65	$7,270.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,668.03 / $2,886.74 / $5,020.42	Professional		$1,668.03	$2,886.74	$5,020.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,810.83 / $8,810.83 / $8,810.83	Professional		$8,810.83	$8,810.83	$8,810.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,008.17 / $2,499.04 / $3,793.19	Professional		$2,008.17	$2,499.04	$3,793.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,301.58 / $5,025.99	Professional		$1,054.29	$1,301.58	$5,025.99